Page 177 - Hematology_ Basic Principles and Practice ( PDFDrive )
P. 177

C H A P T E R          13 

                                   CHEMOKINES AND HEMATOPOIETIC CELL TRAFFICKING


                                              Antal Rot, Steffen Massberg, Alexander G. Khandoga, and
                                                                                          Ulrich H. von Andrian





            The mammalian immune system has evolved to mount multifaceted   signals and control the recruitment of effector leukocytes in infection,
            molecular and cellular microbicidal responses tailored and custom-  inflammation,  tissue  injury,  and  malignancies,  whereas  the  latter
            adapted to eliminate an endless variety of infectious agents and, at   navigate  leukocytes  during  hematopoiesis  in  the  BM  and  in  the
            the same time, remain tolerant to self-antigens. Accomplishing these   thymus during initiation of adaptive immune responses in secondary
            tasks requires continuous movement of billions of motile immune   lymphoid organs and in immune surveillance of healthy peripheral
            cells that roam throughout the body along distinct nonrandom traffic   tissues. However, it is now clear that such functional distinction is
            routes from one tissue to another using blood and lymphatic vessels   largely blurred, as many “inflammatory” chemokines are produced
            as  avenues  for  rapid  access.  Migratory  pathways  characteristic  for   under  physiologic  conditions  and  the  expression  of  “homeostatic”
            distinct  immune  cell  subsets  are  integral  parts  of  their  functional   chemokines is upregulated in inflammation.
            make-up determined in the process of cell differentiation and activa-  Chemokine signals are transmitted through specific cell-surface G
            tion. During development in the bone marrow (BM) or thymus, or   protein–coupled  receptors  (GPCRs)  with  seven  transmembrane
            following stimulation by antigens or pathogen-associated molecules,   domains. 19–23  The human chemokine receptor repertoire identified at
                                                                                                         24
            immune cells acquire the expression of characteristic repertoires of   present consists of 20 different GPCRs (Table 13.2).  The tremen-
            cell  surface  molecules  that  enable  and  restrict  their  migration  to   dous specificity and plasticity of leukocyte homing and tissue localiza-
            defined tissues and microenvironments. For example, naive lympho-  tion  is  largely  determined  by  the  interactions  of  chemokines  with
            cytes largely disregard inflammatory tissue sites, but migrate efficiently   their cognate receptors. Individual leukocyte subsets express charac-
            into  secondary  lymphoid  organs.  Conversely,  innate  immune  cells   teristic  fingerprints  of  chemokine  receptors,  and  each  chemokine
            and antigen-experienced lymphocytes can respond to inflammation-  receptor binds defined sets of chemokines, albeit with various binding
            induced traffic cues, although some subsets also enter noninflamed   affinities  and  resulting  in  a spectrum  of downstream of  responses,
                                             1–4
            lymphoid  and  nonlymphoid  target  tissues.   Notably,  not  only   from agonism to antagonism. 25,26  Chemokine receptors function as
            mature  leukocytes  but  also  hematopoietic  stem  cells  (HSCs)  and   allosteric molecular relays where chemokine binding to the extracel-
            progenitor cells, and other rare cell subsets recirculate throughout the   lular  portion  modifies  the  tertiary  structure  of  the  receptor.  This
            body. 5–13  The characteristic trafficking routes of leukocyte subpopula-  allows the intracellular domain of the engaged receptor to bind to
            tions  are  determined  by  their  expression  of  cell  surface  adhesion   and activate heterotrimeric G proteins. In response, the activated G
            molecules  and  chemoattractant  receptors.  Chemoattractants  are   proteins exchange GDP for GTP, and in the process dissociate into
            generated in target sites and signal through their cognate receptors   Gα and Gβγ subunits. The dissociated Gβγ subunits mediate most
            on leukocytes to induce their emigration and directed locomotion   chemokine-induced signals by activating different phosphatidylino-
            within the tissues. Leukocyte chemoattractants include a number of   sitol  3-kinase  (PI3K)  isoforms,  leading  to  the  formation  of
            lipid  mediators,  microbial  factors,  complement  fragment  5a  and,   phosphatidyl-3,4,5-triphosphate (PIP 3 ). PI3K and its product PIP 3
            most importantly, members of the chemokine family. This chapter   then translocate to the pseudopod at the leading edge of migrating
            discusses chemokines as master navigation signals for leukocyte traf-  leukocytes,  where  they  colocalize  with  the  small  GTPase  Rac. 27–30
            ficking and then focuses on specific trafficking pathways that direct   PIP 3   activates  Rac  through  specific  guanine  nucleotide  exchange
            leukocyte subsets to distinct target tissues.         factors. 31,32  Rac in turn acts through the downstream effectors p21-
                                                                  activated kinase and the Wiskott-Aldrich syndrome protein homo-
                                                                  logue WAVE,  which  stimulate  actin-related  protein  2/3. Together,
            CHEMOKINES IN CONTROL OF LEUKOCYTE TRAFFICKING        this process induces focal polymerization, required for the develop-
                                                                  ment  and  forward  extension  of  the  pseudopod,  a  critical  step  in
                                                                                  33
            Chemokines (a clipping blend of chemotactic cytokines) are critical   leukocyte chemotaxis.  The importance of PI3K-dependent signal-
            molecular  messengers  in  the  complex  cellular  communication   ing for leukocyte chemotaxis is evidenced by the lack of migration of
            network used by the immune system. Almost 50 human chemokines   myeloid  leukocytes  to  chemokines  in  mice  lacking  PI3Kγ. 34–39
            have been identified to date (Table 13.1). 14–18  However, due to the   Notably, though, distinct signaling pathways or at least other PI3K
            existence  of  different  splice  variants  and  enzymatically  processed   isoforms appear to be involved in the trafficking of immune cells. For
            forms  the  number  of  individual  functionally  distinct  chemokine   example, neutrophil and B-cell migration requires PI3Kδ 42–45 , whereas
            molecules is much higher. The two major subclasses of chemokines   T-cell chemotaxis is not impaired in PI3K-deficient mice, but depends
            are designated CC- or CXC-, depending on the relative position of   on the Rac guanine exchange factor DOCK2. 40–42
            the two proximal to the N-terminus canonical cysteines, being either   Different pathways have been identified that can terminate che-
            adjacent or separated by a single amino acid, respectively. XCL1 and   mokine signaling through their GPCRs. The Gα subunit possesses
            XCL2, and CX3CL1 constitute two additional structural chemokine   an intrinsic GTPase activity to hydrolyze GTP. In a negative-feedback
            forms  with  one  cysteine  and  three  amino  acids  between  the  two   loop this GTPase activity allows the Gα subunits to reassociate with
            canonical cysteines, respectively. CX3CL1 and another chemokine,   the Gβγ subunits, thereby restoring the heterotrimeric G protein to
            CXCL16,  are  associated  with  a  cell  membrane  via  a  long  spacer   its inactive state. In addition, another class of molecules, known as
            sequence and anchored by a transmembrane domain; however, both   regulators  of  G  protein  signaling  (RGS),  also  modulates  signaling
            these  chemokines  can  be  cleaved  of  their  stalks  and  give  rise  to   through  chemokine  GPCRs.  RGS  are  a  large  and  diverse  protein
            functional  soluble  molecules.  All  other  chemokines  are  secreted   family initially identified as GTPase-activating proteins of heterotri-
            proteins  of  67  to  127  amino  acids.  Historically,  chemokines  have   meric G protein Gα-subunits. 43,44  At least some RGS can also influ-
            been grouped into functional subfamilies termed inflammatory and   ence Gα activity through either effector antagonism by competing
            homeostatic  chemokines. The  former  are  induced  by  inflammatory   with effector molecules for GTP-bound Gα-subunits or by acting as

                                                                                                                 135
   172   173   174   175   176   177   178   179   180   181   182